Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Tonsillotomy versus tonsillectomy on young children: 2 year post surgery follow-up
Örebro University, Sweden .
Linköping University, Department of Clinical and Experimental Medicine, Division of Neuroscience. Linköping University, Faculty of Health Sciences.
Linköping University, Department of Clinical and Experimental Medicine, Division of Neuroscience. Linköping University, Faculty of Health Sciences.
Linköping University, Department of Clinical and Experimental Medicine, Division of Neuroscience. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Anaesthetics, Operations and Specialty Surgery Center, Department of Otorhinolaryngology in Linköping.
2014 (English)In: Journal of Otolaryngology - Head & Neck Surgery, ISSN 1916-0216, Vol. 43, 26Article in journal (Refereed) Published
Abstract [en]

Objectives: To study the long-term effect of tonsillotomy and tonsillectomy in young children after two years in comparison to the results after six months. Method: Children, age 4-5 with Sleep Disordered Breathing (SDB) and tonsil hyperplasia, were randomized to TE (32) or TT (35). TT was performed ad modum Hultcrantz with radiofrequency technique (Ellman). An adenoidectomy with cold steel was performed in the same session for 80% of cases. The patients were assessed prior to surgery, at six and 24 months postoperatively. Effects of surgery were evaluated clinically, through questionnaire (general health/snoring/ENT-infections), Quality of Life (QoL), survey of pediatric obstructive sleep apnea with OSA-18, and childrens behavior with the Child Behavior Checklist. Results: After two years there was still no difference between the groups with respect to snoring and frequency or severity of upper airway infections. Both TT and TE had resulted in large improvement in short and long term QoL and behavior. Three TT-children and one TE child had been re-operated due to recurrence of obstructive problems, the TE-child and one of the TT-children with adenoidectomy and two of the TT-children with tonsillectomy. Three of the TT-children had tonsil tissue protruding slightly out of the tonsil pouch and twelve TE-children had small tonsil remnants within the tonsil pouches, but with no need for surgery. Conclusion: Younger children have a small risk of symptom-recurrence requiring re-surgery within two years after TT. For the majority, the positive effect on snoring, infections, behavior and quality of life remain and is similar to TE.

Place, publisher, year, edition, pages
BioMed Central, 2014. Vol. 43, 26
Keyword [en]
Tonsillotomy; Tonsillectomy; Quality of life; Methodology
National Category
Clinical Medicine
Identifiers
URN: urn:nbn:se:liu:diva-109881DOI: 10.1186/s40463-014-0026-6ISI: 000340004200001OAI: oai:DiVA.org:liu-109881DiVA: diva2:741589
Available from: 2014-08-28 Created: 2014-08-28 Last updated: 2017-02-20Bibliographically approved

Open Access in DiVA

fulltext(594 kB)95 downloads
File information
File name FULLTEXT01.pdfFile size 594 kBChecksum SHA-512
67431e39d7edc0f15a40fbe13e32c6e8d924a1aed18696f3d6f6fb35d43073435389a22a8056d6febd0d0d0f54f40e47e1a5c7e279ff87a832ff0118c8b8085b
Type fulltextMimetype application/pdf

Other links

Publisher's full text

Authority records BETA

Graf, JonasLundeborg Hammarström, IngerHultcrantz, Elisabeth

Search in DiVA

By author/editor
Graf, JonasLundeborg Hammarström, IngerHultcrantz, Elisabeth
By organisation
Division of NeuroscienceFaculty of Health SciencesDepartment of Otorhinolaryngology in Linköping
Clinical Medicine

Search outside of DiVA

GoogleGoogle Scholar
Total: 95 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

doi
urn-nbn

Altmetric score

doi
urn-nbn
Total: 378 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf